HCCS007 - Health Plan Compliance: Fraud, Waste and Abuse

Every year, millions of dollars are improperly spent because of fraud, waste and abuse. All health plans that pay claims for beneficiaries of government healthcare programs are required to complete compliance training as part of an effective compliance program. The consequences of committing fraud, waste or abuse include civil money penalties, criminal convictions and fines, civil prosecution, imprisonment, loss of provider license, and/or exclusion from Federal healthcare programs.